Individual provider Active NPI

Maria Elena Ramos

  • Physician Assistant
  • Los Angeles, CA
National Provider Identifier
1033939392
Registry record updated Oct 11, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
Practice address
1919 S San Pedro St
Los Angeles, CA 90011-1121
Phone
(323) 233-3100
NPI assigned
Oct 11, 2024
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 11, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X Primary

Addresses

Primary practice location

1919 S San Pedro St
Los Angeles, CA 90011-1121

Mailing address

1590 W Tudor St
Rialto, CA 92377-3860
Phone (562) 250-7616

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250801000699 CA Practitioner - Physician Assistant 9830607829 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
65383CAMDAmbulatory Care Pharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Universal Community Health Center CurrentSince May 18, 2025 Accepting new patients
Universal Community Health Center CurrentSince May 18, 2025 Accepting new patients

Locations

1005 E Washington Blvd
Los Angeles, CA 90021
Phone (213) 745-3636

2801 S San Pedro St
Los Angeles, CA 90011
Phone (323) 233-3100

1919 S San Pedro St
Los Angeles, CA 90011
Phone (323) 233-3100

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1728604800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1728604800000",
    "number": "1033939392",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1590 W TUDOR ST",
            "city": "RIALTO",
            "state": "CA",
            "postal_code": "923773860",
            "telephone_number": "562-250-7616"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1919 S SAN PEDRO ST",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900111121",
            "telephone_number": "323-233-3100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAMOS",
        "first_name": "MARIA",
        "middle_name": "ELENA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-10-11",
        "last_updated": "2024-10-11",
        "certification_date": "2024-10-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Angeles, CA

Sources for this page

Verify at the official NPI Registry.